Hi there,
Many people on this board also exercise regularly and/or daily. I often exercise within 24 hours of having taken nal, and I have noticed zero change, for better or for worse. Some people definitely take advantage of the reuptake of endorphins 48 hours later to get a super workout in, but you should be fine either way.
As for the long term psychiatric effects, I'm no doctor, but this drug has been around (in one for or another, not necessarily for alcohol dependency) for many many years (at least since the 1930s) and is still considered incredibly safe by doctors. My thinking is this - do you really think that the daily drinking is not causing long-term mental health damage? Lol I think that's a bigger one to worry about
